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<title><!--%nom_fonction%--></title>
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<h3><!--%nom_module%--></h3>
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<div class="cleared"></div>
<div class="corps1">

<!--/***************************************/-->
<div class="imgleft"></div>
<div class="imgmiddle">
<div class="cleared"></div>
<h5><!--%nom_liste%--></h5>
<h5>du</h5>
<h5><!--%date_debut%--></h5>
<h5>au</h5>
<h5><!--%date_fin%--></h5>
<table>
	<tr>
		<td>Agent</td>
		<td><!--%code_agent%--></td>
		<td><!--%nom_agent%--></td>
	</tr>
	<tr>
		<td>Unite</td>
		<td><!--%code_unite%--></td>
		<td><!--%nom_unite%--></td>
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	<tr>
		<td>Region</td>
		<td><!--%code_region%--></td>
		<td><!--%nom_region%--></td>
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<table class="tab_liste ns0">
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		<!--%loop:colonne%-->
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<div class="content_table bright">
<table class="tab_list">
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	<tr>
		<td ><!--%num_contrat%--></td>
		<td ><!--%date_effet%--></td>
		<td ><!--%libelle_offre%--></td>
		<td ><!--%libelle_produit%--></td>
		<td ><!--%libelle_formule%--></td>
		<td ><!--%montant_base_cotisation%--></td>
		<td ><!--%montant_droits%--></td>
		<td ><!--%frequence_paiement%--></td>
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